Ian Karl Wallace
ExpiredCalifornia license A119017
License
- Licensed by
- Medical Board of California
- License number
- A119017
- Status
- Expired (Delinquent)
- First issued
- November 9, 2011
- Expired
- September 30, 2023
- License holder
- Ian Karl Wallace
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
Orofino Health Clinics
1055 Riverside Ave
Orofino, ID 83544
1055 Riverside Ave
Orofino, ID 83544
Clearwater County